| Thomas D Cervoni, MD | |
|
789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 | |
| (859) 624-4110 | |
| (859) 624-1968 |
| Full Name | Thomas D Cervoni |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 789 Eastern Byp, Richmond, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407946403 | NPI | - | NPPES |
| 200312945 | Other | KY | FEDERAL TAX ID |
| 64035546 | Medicaid | KY | |
| 5623185 | Other | AETNA PROVIDER ID | |
| P00111547 | Other | KY | TRAVELERS MEDICARE NUMBER |
| 000000311405 | Other | KY | ANTHEM BLUECROSS & BLUESH |
| 5245840001 | Other | KY | DMEPOS ADMINISTAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 34845 (Kentucky) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 34845 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Richmond | Richmond, KY | Hospital |
| Baptist Health Lexington | Lexington, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| H2 Rehabilitation Services Of Kentucky, Llc | 5799682688 | 149 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D Cervoni, MD 789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 Ph: (859) 624-4110 | Thomas D Cervoni, MD 789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 Ph: (859) 624-4110 |
Tyrone Gregory Dozier Jr., ATC Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 171 N Keeneland Dr, Richmond, KY 40475 Phone: 859-575-1888 | |
Robert William Nolan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 789 Eastern Byp, Suite 5, Richmond, KY 40475 Phone: 859-624-4110 Fax: 859-624-1968 | |
Michael R Heilig, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 318 Highland Park Dr, Richmond, KY 40475 Phone: 859-353-4180 |